DAVID I SIEGAL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

DAVID I

Last Name

SIEGAL

Business Name

DAVID I SIEGAL

Original Issue Date

08/22/1986

Effective Date

12/23/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60645

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025